scholarly journals Road Transportation Injuries on the Federal Highway in the Region with a Low Population Density: Relevance of the Problem and Ways of its Solution

2021 ◽  
pp. 25-28
Author(s):  
A.V. Baranov ◽  
◽  
E.A. Mordovsky ◽  
A.S. Samoylov ◽  
◽  
...  
Keyword(s):  
Population Density ◽  
Medical Care ◽  
Russian Federation ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Arkhangelsk Region ◽  
Federal Highway ◽  
The Russian Federation

The purpose of the study is to use the example of the Arkhangelsk region to identify conditions affecting the organization of medical care for victims of road accidents on the federal highway in a region with a low population density, and to determine the main directions of its improvement. Materials and research methods. Using the method of comparative analysis, the following review was carried out: review of the authors’ studies, the subject of which was the features of road traffic injuries on the federal highway M-8 «Kholmogory» within the Arkhangelsk region; review of domestic and foreign scientific research, review of regulatory documents on the provision of medical assistance to victims of road accidents. Scientific literature search was performed in eLibrary, PubMed, Scopus systems by keywords. Scientific articles published in 1990–2020 were selected for analysis. Using the method of an organizational experiment, a scientific substantiation of a set of measures to improve the efficiency of the provision of medical care in prehospital and hospital periods to victims of road traffic accidents at federal highway in regions of the Russian Federation with a low population density was carried out. Applying the method of system analysis, on the basis of the results of this study, conceptual provisions for a systemic register of health consequences of road accidents in the Russian Federation have been developed and scientifically substantiated. Research results and their analysis. The article describes road traffic injuries on the federal highway M-8 «Kholmogory» in the Arkhangelsk region. The factors that determine the effectiveness of the provision of medical care in prehospital and hospital periods to victims of road traffic accidents are considered. The ways of improving the provision of medical care to victims of road traffic accidents at federal highway in a region with a low population density are formulated and substantiated.

scholarly journals Organization of the provision of specialized medical care to injured in road accidents on the federal highway M-8 «Kholmogory» in the Arkhangelsk region during the hospital period

2021 ◽  
pp. 18-25
Author(s):  
A. V. Baranov ◽  
S. F. Goncharov ◽  
E. A. Mordovsky ◽  
A. S. Samoylov
Keyword(s):  
Medical Care ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Road Traffic Injuries ◽  
Arkhangelsk Region ◽  
Global Pandemic ◽  
Federal Highway

Relevance. Road traffic injuries are a global pandemic and one of the leading causes of death in the population. Federal highway M-8 “Kholmogory” is the leading transport artery of the European North of the country; has pronounced features inherent in all northern roads: significant distances between settlements and difficult road conditions, which together increase the risk of road traffic accidents (RTA) with medical consequences, and also seriously complicate the process of providing medical care to injured.Intention. To analize provision of specialized medical care to injured in RTA on the federal highway M-8 “Kholmogory” in the Arkhangelsk region during the hospital period and propose improvements.Methodology. Domestic and foreign publications on the organizational approaches to the provision of specialized medical care to injured in road traffic accidents during the hospital period were analyzed based on specialized scientific search engines (eLibrary, PubMed, Scopus).Results and Discussion. Problems in the organization of medical care to injured in RTA on the federal highway M-8 “Kholmogory” in the Arkhangelsk region during the hospital period were identified and systematized. The ways of its improvement are outlined.Conclusion. Implementation of the measures proposed will reduce medical and sanitary consequences, concomitant road traffic injuries on the federal highway, including disability and mortality in the medium and long term.

scholarly journals Foreign and national experience in organizing tertiary medical care for injured in road accidents

2019 ◽  
Vol 100 (3) ◽  
pp. 464-468
Author(s):  
D A Bugayev
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Trauma Centers ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Severe Injuries ◽  
The Russian Federation ◽  
The Creation

As a result of road accidents in the Russian Federation, up to 30 thousand people are killed every year, which causes significant demographic and socio-economic damage to the state. The World Health Organization considers road traffic injuries as one of the global problems associated with 1.25 million deaths. In many countries, the leading direction of development of medical care for victims of road traffic accidents is the creation of trauma systems. The main volume of medical care for victims of road traffic accidents and those with severe injuries under other circumstances is provided by trauma centers of the 2nd and 1st levels. The implementation of the federal targeted programs «Improving road safety in 2006-2012» allowed the creation of a network of trauma centers in a number of subjects of the Russian Federation, whose work reduced mortality and disability among victims with severe injuries, but the problem cannot be considered solved because there are no national database of the victims of road accidents (register), system for assessing the severity of injuries and recording long-term results of non-fatal injuries, which excludes the possibility to compare the clinical effectiveness of the Russian trauma centers among themselves and with foreign counterparts.

scholarly journals Evaluation of time factor of providing emergency medical care for victims of road traffic accidents on the federal highway M-8 “Kholmogory”

2020 ◽  
pp. 5-9
Author(s):  
A. V. Baranov ◽  
Yu. E. Barachevsky
Keyword(s):  
Medical Care ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Time Factor ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Emergency Medical Care ◽  
Arkhangelsk Region ◽  
Emergency Medical ◽  
Federal Highway

Relevance. Road traffic injuries, having the nature of a global epidemic, pose an urgent medical and social problem. Among victims of road traffic accidents, mortality is many times higher than that of victims who were injured under other circumstances. The survival of victims in road accidents depends on the timeliness, quality and capacity of emergency medical care, on the competence of care providers and on the effectiveness of the organization of this type of medical care at the prehospital stage.Intention – to estimate the time of providing emergency medical care for victims on the federal highway M-8 “Kholmogory” on the territory of the Arkhangelsk region.Methodology. The material of the study was a sample of 906 medical records (form 003/y) for victims of the road accidents, who were admitted to hospitals of Arkhangelsk region in the period from 01.01.2012 to 31.12.2018. Registered forms were selected according to the criteria of retrospective full-design documentary observation. Differences between the observation groups were considered statistically significant at level of p < 0.05 as adjusted for multiple comparisons (Bonferroni correction).Results and Discussion. Time factor of emergency medical care on the federal highway M-8 “Kholmogory” in 3 medical districts of the Arkhangelsk region was characterized. The ambulance teams arrived at the place of accident within 20 minutes in 30 (3.3 %) cases, from 21 to 40 minutes – in 345 (38.1 %) cases, from 41 to 60 minutes – in 299 (33 %) cases and over a period of more than 1 hour – in 232 (25.6 %) cases. There was no statistically significant difference in time of providing emergency medical care for victims with isolated, multiple and concomitant traumas.Conclusion. It was shown that in 74.4 % of cases (p < 0.001) ambulance arrived at the site of a road accident earlier than 60 minutes. The largest number of cases of providing emergency medical care exceeding 60 minutes was noted in the Arkhangelsk Medical District – 28.4 % (p < 0.013), and the lowest –in the Severodvinsk Medical District – 18.3 %. In more than a quarter (26 %) of cases the emergency medical care was provided for victims with polytrauma beyond the 60 minutes period, with most of them in the Arkhangelsk Medical District (p = 0.004).

scholarly journals Results of providing specialized medical care to victims in road traffic accidents on Federal highway M-8 “Kholmogory” in the Arkhangelsk region

2020 ◽  
pp. 35-41
Author(s):  
S. F. Goncharov ◽  
A. V. Baranov
Keyword(s):  
Hospital Mortality ◽  
Medical Care ◽  
High Speed ◽  
Traffic Accidents ◽  
Road Traffic ◽  
High Energy ◽  
Road Traffic Accidents ◽  
Average Hospital ◽  
Arkhangelsk Region ◽  
Federal Highway

Relevance. Currently, there is a general increase in the severity of injuries due to the dominance of high-energy multiple and concomitant injuries, especially on high-speed federal highways.Intention: To evaluate specialized medical care and hospital mortality in victims of road traffic accidents on the Federal Highway M-8 “Kholmogory” in the Arkhangelsk Region.Methodology. We selected 906 case histories of patients (form 003/y) injured in accidents on the federal highway M-8 “Kholmogory” and urgently admitted to hospitals of the Arkhangelsk region in 2012 - 2018. Registration forms were selected according to the criteria of retrospective full-design documentary observation. Differences between the observation groups were considered statistically significant at p < 0.05 with correction for multiple comparisons (Bonferroni).Results and Discussion. In the healthcare organizations of the Arkhangelsk region, patients with polytrauma received surgical treatment, with percentage of selective and urgent surgeries, average hospital bed days and time in intensive care units significantly higher (p = 0.001) compared to other patients, while isolated injuries were more often (p = 0.001) treated non-sur-gically. Hospital mortality was 6.0%, deceased patients were significantly older (p = 0.015), and pedestrians comprised half of them (p <0.001). Polytrauma was a cause of all deaths, with average severity of 38 points by the ISS severity scale [22; 48] (p = 0.001); more than a half died 1 day after an accident (p = 0.001).Conclusions. One of the possible ways to improve the medical care to victims of road traffic accidents on the federal highways at all stages of medical evacuation is to develop, scientifically justify and implement a systemic register of the health consequences of road traffic injuries in the practice of public health in the regions of Russian Federation.

ANALYSIS OF THE CONDITIONS OF THE SECONDARY ROAD TRAFFIC ACCIDENTS

2020 ◽  
pp. 27-30
Author(s):  
П.В. Ляхов
Keyword(s):  
Russian Federation ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Statistical Data ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
The Russian Federation ◽  
Definition Of

В статье представлено авторское определение понятия «вторичное дорожно-транспортное происшествие». При- ведены основные статистические сведения о вторичных дорожно-транспортных происшествиях, произошедших в Российской Фе- дерации за 10 месяцев 2020 года. The article presents the author's definition of the concept «secondary traffic accident». The main statistical data on secondary road accidents that occurred in the Russian Federation for 10 months of 2020 are presented.

REDUCING ROAD TRAFFIC ACCIDENTS INVOLVING PEDESTRIANS

2015 ◽  
Vol 2 (2) ◽  
pp. 624-628
Author(s):  
Красаулина ◽  
N. Krasaulina ◽  
Алешина ◽  
I. Aleshina ◽  
Иванов ◽  
...  
Keyword(s):  
Russian Federation ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
The Russian Federation

The analysis of road accidents in the Russian Federation with the participation of pedestrians, actualized the need to establish a set to accompany the walking of the column, and it is represented by a set of testing

ABOUT ADDITIONAL INDICATORS ROAD TRAFFIC ACCIDENTS IN THE RUSSIAN FEDERATION

2021 ◽  
pp. 29-34
Author(s):  
О.Н. Кузьмин ◽  
Е.В. Дедюлин
Keyword(s):  
Russian Federation ◽  
Road Safety ◽  
Road Network ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
The Russian Federation ◽  
Network Safety

В статье анализируется информативность основных показателей аварийности, возможные неверные представления о повышении безопасности дорожного движения при снижении количества ДТП, необходимость учета степени безопасности дорожной сети при выборе мер, направленных на повышение безопасности дорожного движения, а также комплесная оценка этих мер и степени безопасности дорожной сети. The article analyzes the informativeness of the main indicators of accidents, possible misconceptions about improving road safety while reducing the number of accidents, as well as the need to take into account the degree of road safety when choosing measures aimed at improving road safety, assessing such measures in combination with the degree of road network safety.

scholarly journals Problems of road traffic injuries and road traffic safety in Russia

2020 ◽  
pp. 27-34
Author(s):  
S. S. Aleksanin ◽  
S. V. Shport
Keyword(s):  
Russian Federation ◽  
Traffic Safety ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Alcohol Intoxication ◽  
Road Traffic Accidents ◽  
The Public ◽  
The Road ◽  
Road Traffic Safety ◽  
The Russian Federation

Relevance. The paper is devoted to problems of ensuring road traffic safety in Russia, which is the public task of great importance involving the implementation of the policy for protecting people's health, life, and property.Intention. To look for ways of optimizing and implementing the measures aimed at preventing the technogenic emergencies.Methodology. To analyze the indicators of road traffic accidents in the Russian Federation over five years as well as the federal laws in the field of road traffic safety.Results and Discussion. Risk factors of traffic accidents include: alcohol intoxication, speed limit exceeded, overtaking in the wrong place, driver talking, smoking while driving, driver fatigue. In the Russian Federation, there is a persistent downward trend in the number of accidents. In 2019, 164,358 traffic accidents (-2.2 %; all comparisons vs 2018) occurred, 16,981 (-6.8 %) persons died, 210,877 (-1.9 %) persons were injured. According to the Ministry of Internal Affairs, the number of accidents due violation of the Road Rules by drivers was 146,688 (-1 %); 14,420 (-5.7 %) persons died and 195,037 (-0.8 %) persons were injured. In 2019, road traffic accidents caused by drunk drivers tended to decrease (12,040; -3.5 %); 11,510 (-4 %) persons died and 160,725 (-0.4 %) persons were injured.Conclusion. Drivers' health is directly related to road traffic safety; health promotion would contribute to decreasing the number of road traffic accidents and traffic-related injuries.

scholarly journals High Mortality Rates from Road Traffic Accidents in the Russian Federation: Possible Causes and Ways to Overcome Challenges

2019 ◽  
Vol 17 (3) ◽  
pp. 192-205 ◽  
Author(s):  
A. V. Popov ◽  
U. M. Kaimakova ◽  
N. P. Stetsky
Keyword(s):  
Russian Federation ◽  
High Mortality ◽  
Traffic Accidents ◽  
Emergency Services ◽  
Road Traffic ◽  
Mortality Rates ◽  
World Health ◽  
Time Of Arrival ◽  
Road Traffic Accidents ◽  
The Russian Federation

Road traffic accidents cause enormous material and moral damage both to the society as a whole and to individual citizens. According to the data, the Russian Federation is among countries with highest road traffic mortality rates within European Region of the World Health Organization.The objective of the study was to attempt to identify possible causes of high mortality rates from traffic accidents on the roads of the Russian Federation and to reveal ways to reduce those rates.To that purpose a survey of citizens of the Russian Federation who are driver’s license owners and who are experienced drivers was conducted in different regions of the country. The results identified low medical literacy in terms of provision of first aid to the injured persons as one of the causes.Other factors, potentially capable to reduce the number of fatalities in road traffic accidents, once their performance indicators improve, have also been considered. Those indicators comprise time of arrival of ambulance crews at the site of an accident with enough medical equipment and medicines, interaction of emergency services, growth of efficiency of training in providing primary medical care at driving schools.

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